HomeMy WebLinkAbout23-6597w
Permit Type: Building New Residential
04 26 21 0160 Q1500 Q130 36461 Well Hill Way
ti ,t
Name: Lennar Homes, LLC Permit Type: Building New (Residential) Contractor: LENNAR HC}MES LLG
Class of Work: SFR Construct,
Address: 4301 W Boy Scout Blvd Suite 600 Building Valuation: $271,440.00 f� ,
Tampa, FL 33607 Electrical Valuation: $40,716.00
Phone: (813) 574-5700 Mechanical Valuation: $19,000.80
Plumbing Valuation: $27,144.00
Total Valuation: $358,300.80
Total Fees: $20,429.53
Amount Paid: $20,429,53
Date Paid: 7/17/2023 1:55:19PM
,ALB- \
CONSTRUCT SINGLE FAMILY 1764 SQ FT
yy�yy�+ j� yy�F
Plumbing Permit Fee $175,72 Park Impact Fee - Single Family/Townhome $769,56
Admin Fee / (Provider Service) $180,00 SIF 1 percent Fee $83.28
Transportation Impact Fee $3,595.68 Water Connection Residential Fee $1,140.00
Irrigation 3/4 Meter (Calc) $794.92 3/4 Water Meter Fee (Cale) $794.92
Building Permit Fee $1,397.20 Electrical Permit Fee $243.58
Driveway Fee $45.00 Address Fee $30.00
School Impact Fee - Single Family $8,328.00 Sewer Connection Residential Fee $2,400.00
Mechanical Permit Fee $135.00 Public Safety Impact Fee -Police $254.00
Transportation Impact Fee - City $36.32 Public Safety Impact Fee -Admin $26.35
REINSPECTION FEES: (c) With respect to Reinpection fees will comply with Florida Statute 553.50(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
f'
CONTRACTOR SIGNATURE
M •_
w<: w w r ! .; � � � it w: • � � •
rillillijll'� ;; Oil
M w w■ • y w
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
1( 908 770 -_ 7763
1_1 1 1-1 1 V-11 I I I I A A 1 111 1 1 1 1 1 1 1 Owner's Name CAL HEARTHSTONE LOT OPTION POOL 03 L P Owner Phone Number 813.574.5700
Owner's Address 1 23975 Park Sorrento, Ste. 220, Calabasas, CA 91302 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS 36461 WellHill Way LOT # 1513
SUBDIVISION Abbott Square PARCEL ID#FO4-26-21-0160-01500-0130
(OBTAINED FROM PROPERTY TAX NOTICE)
35153.#.• �
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE I UIR SF
BUILDING
OELECTRICAL
OPLUMBING
NEW CONSTRF--1 ADD/ALT SIGN
O DEMOLISH
INSTALL REPAIR
SFR COMM OTHER
BLOCK Q FRAME STEEL
Single Family Residence / Pool / Screen Enclosure / Fence
2262
SQ FOOTAGE1764
HEIGHT
[26
$ 271440
r40716
1 $ 27144
MECHANICAL 1 $ 19000.8
r__71
=GAS [Yi(► ROOFING
FINISHED FLOOR ELEVATIONS I
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY O W,R.E.C.
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA DYES Do
Ler mar Homes, LLC
BUILDER COMPANY YJ _ SIGNATURE REGISTERED N FEE CURREN
Address 14JOI W Boy Scout Blvd Suite 600 Tampa, Fl, 33607 License# I CGC 1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED t YT-N FEE CURREN
Address License# EC1 3005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED YIN FEE CURREN Y/N
Address License # LCFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED L_yj N J FEE CURREN I Y/N
Address License #
OTHER COMPANY I C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN I YIN
Address License# 1 CCC057991
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways.,needs ROW
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may besubject to^deed^restrictions"
which may bemore restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
onntnuohone to undertake wmrk, they may be required to be licensed in 000nndenne with state and |uoa| regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to whet licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermone, if the owner has hived a contractor or oontrookom, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
conheohor, that may beun indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tuthe construction ofnew buildings, change of
use in existing buUdinga, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number80-07 and
80-07, as amended. The undersigned also undemtmnda, that such feeo, as may be dua, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Roenunna Recovery Fees must be paid prior to
receiving a ''mertiOnehe of occupancy" or Dne| power na|aaoe. If the project does not involve u uert|Uoaha of occupancy or
final power ve|eaoe, the fees must be paid prior to permit |oouanoe. Furthermore, if Pasco CountyVVeher/Smwer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713,Florida Statutes, mmnmnended): |fvaluation ofwork ia$2.5OO.0Uormore, |
certify that |, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver ithnthe ^mwnor"prior tucommencement.
CONTRACTOR'S/0VVNER'SAFF|0AV|T: | certify that all the information inthis application |oaccurate and that all work
will be done in compliance with all applicable laws regulating uonotnuction, zoning and land development. Application is
hereby made to obtain a pann|t to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |avvo regulating
oonatruction. County and City oodeu, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is
myresponsibility tuidentify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Boyheadn, Wetland Areas and Environmentally Sensitive
Lands, VVaier8Nas\ewaVmrTruatment.
- Southwest Florida Water Management Disirict-WeUs, Cypress Boyheads' Wetland Anean, Altering
Watercourses.
- Army Corps ofEnQineeno-SemwoUs.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVaUa, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority`Rumwoyo.
| understand that the following restrictions apply 0othe use mffill:
- Use nffill ionot allowed inFlood Zone ^V~unless expressly permitted.
- If the D|| mehahe| is to be used in Flood Zone ''A^, it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time ofpermitting which is prepared by professional engineer
licensed bythe State ofFlorida.
- If the h|| material in to be used in Flood Zone ''A^ in connection with a permitted building using stem wm||
construction, | certify that fill will be used only tofill the area within the stem wall.
- If fill material is to be used in any area. | certify that use of such 0i will not adversely affect adjacent
properties. If use of fill in found to adversely affect adjacent pnupedieo, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |aym than one (1)
acre which are elevated byfill, anengineered drainage plan iorequired.
|f|omthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this ufhdev|i prior to commencing construction. | understand that o a*ponaha permit may be required for electrical wnrk,
p|umbinQ, aigno, vva||a, pon|o, air conditioning, gau, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit iauuanua, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be nequestod, in writing, from the Building Official fora period not 0oexceed ninety (QO)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
OWNERORAGENT
Subscribed and sworn , ror affirmed) before me this
11261- by bristopher Smith
Who is/are personally known to me or has�haye pFedwG94
as identification.
-Notary Public
Commission 296057
Stephanie Farmer
Name of Notary typed, printed or stamped
Lk
Subscribed and sworn to (or affirmed) before me this
Name of Notary typed, printed or stamped
Permit No.—LIY—z—
TRANSPORTATION IMPACT FEE Rate: ?-1/ Sq. Ft Unit: 17
Exempt 0 Yes [:D No How Determined
Impact Fee Amount Zone No, TAZ:
Account (056) single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt [D Yes E:] NO How Determined_
Land Account Land Credit Land Total
Recreation Account_ Recreation Credit Recreation Total
Zone - Total Amount $ 17,
Exempt OYes 0 No How Determined --ziY
Land Account Land Credit Land Total
Facility Account _ Facility Credit Facility Total
Exempt 11 Yes No How Determined Total Amount
RESOURCE FEE
ERU
Total Amount
RM
1140 CERTIFICATE OF OCCUPANY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND RECEIPTED FOR BY A CENT?A
ACKNOWLEDGEMENT BELOW DOES NOT IMPLY ACCEPTANCE OF CONCURRENC
-05MENT AND THE CONDITIONS OF PAYMENT F(
gn
Im
_j<
= - LOT RETAINING WALL
tD I]A94.85 ry�--^--�---u-.-
PF:96.77
AD�,96 D
29'- 11
2 H27 26 25 L24 21 22 L21 20 19
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9443 28 25
\-1�F6 3 " i. 9 �] 'a 0
61'-24"R P@
---------------- ------
261'- 24" RCP @ 0.30%-
12k+oo q..- — ___12,21�_ _ _� � .. �Y�6
-26' 0.38% +
-18"RCP@ 94.46
- - - - - - ui - - - - - - - L'i - - - - - - - LA - - - - - - - -
43--
A] PE A'
,9 .5 i,7
L! LE
P A TYPE 'A' I YP A TY E, A' 11 A] P W
6 07 LM I
1 TYPE A
P"A' TYPE
7 :. Si8
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P A MJ:4 iiPA 4.2 PA :94.5 PAQ996820 PA PAD:97,60 PA'38.2 A 98..
FF:96.07 7 11:11.2,
LPZ� 2
I �o RETAINING WALL #7 555 LF
0 9 6 5 4 L3 2
rn
16 1
a OCK q�
1 '7 13 14
7
PE A E �.A 'A
SILT FENCE
T T F
P 7�A 01 0� 0,
JIF:101.47 41 �FF71 11 TYPE
21
W TI�PEA p W
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OP
PqEA
'02 R7 VF.�W �7 17 17
MATCH LINE
L--j SEE SHEET C210
191 j I j 10 11 j 21 j I 1 22 11 J__!!
DESCRIPTION: LOT 13, BLOCK 15, ABBOTT SQUARE PHASE 2,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 90,
PAGES 28-33, OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
LOT
= 4400
SO. FT.
LIVING AREA
= 728
SO. FT.
ENTRY
= 62
SO. FT.
GARAGE
= 379
SO. FT.
COVERED LANAI
= 60
SO. FT.
PATIO
= N/A
SQ. FT.
POOL AREA
=---N/ASO.
FT,
CONC. DRIVE
= 328
SO. FT.
A/C & CONC PAD
= 10
SO. FT.
SIDEWALK
= 42
SO. FT.
SIDE YARD SWALE
= NIASO.
FT.
CONSERVATION AREA
= NA
SO. FT.
LOT OCCUPIED
= 37
%
AREA TO IRRIGATE
= 63
%
NOTES:
LOT GRADING TYPE = A
PROPOSED PAD ELEVATION = 10 1. 10'
FRONT SET BACK = 20'
SIDE SET BACK - 75
SIDE SET BACK (CORNER LOT) = I OF
REAR SETBACK - 15'
PROPOSED:
LIVING AREA: 10 1.77'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
DATUM OF 1988
SITE PLAN
(NOT A SURVEY)
This SITE PLAN Prepared for and Certified To:
Lennar Homes
LOT 9 j LOT 8
BLOCK 15 1 BLOCK 15
1
N 89-48'04- E (P) 40.00- (P)
OS/
12X3.4—
MM
rn
M
LOT 12 P
BLOCK 15 8
-za-
'A
75
25-0"
PROPOSED
2 STORY RESIDENCE
PLAN 1763
ELEV "B"
GARAGEL
6 00
LOT13
. 6
BLOCK 15
7.5'
6.3'
ENTRY
.3 7
35
7.5' I&T 3'
CONC
LOT 14
BLOCK 15
Jp6.0 ALK
Ul N 89-48-04- E (P)
b 397.40- (P)
i
lwz• • 11 1101
9KA1.0.0101 ST4911110MAISIP&NI
I'll i PRM
----------
22.0-
somas=
WELL HILL WAY
TRACT "A"
(CDD) RIGHT-OF-WAY
TW = TOP OF WALL
= I 0.00'PUBLIC UTILITY EASEMENT
LEGEND:
---= PROPOSED DRAINAGE FLOW
(00.00) = PROPOSED GRADE
E-00.00 = EXISTING GRADE
ALL ELEVATIONS REFERENCED
TO NORTH AMERICAN
VERTICAL DATUM OF 1988
(NAVD 88)
PROPOSED ELEVATIONS AND GRADING
SHOWN HEREON ARE TAKEN FORM THE
ENGINEERING PLANS OF
"ABBOTT SQUARE RESIDENTIAL", PREPARED
BY "WRA" PROVIDED BY CLIENT
APPARENT FLOOD HAZARD ZONE "X" COMMUNITY NO. 120235
SURVEY ABBREVATIONS
(MAP NUMBER 12101 C-0289-F) EFFECTIVE DATE: 09/26/2014
A) = ARC LENGTH
(D) = DEED INV = INVERT PC = POINT OF CURVE (R) = RECORD
LEG END VINYL FENCE
A/C = AIR CONDITIONER
D.E= DRAINAGE EASEMENT LB =UCENSED BUISNESS PCC = POINT OF COMPOUND CURVE RNG = RANGE
CONC
AF = ALUMINUM FENCE
EL OR ELEV = ELEVATION 11 LANDSCAPE EASEMENT PCP = PERMANENT CONTROL POINT RRS = RAIL ROAD SPIKE
------
LIFE = BASE FLOOD ELEVATION
BM - BENCH MARK
EOP = EDGE OF PAVEMENT LFE = LOWEST FLOOR ELEVATION P/E = POOL EQUIPMENT R/W = RIGHT OF WAY
WOOD FENCE
C = CURVE
ESM7 = EASEMENT LS = LICENSED SURVEYOR PG PAGE SEC SECTION
= ASPHALT \ - \
(C) = CALCULATED
F/C = FENCE CORNER (M) = MEASURED PI = POINT OF INTERSECTION SN&D = SET NAIL AND DISK
�L = CENTERUNE
FCM = FOUND CONCRETE MES = MITERED END SECTION PK =PARKER KALON LB#8183
CHAIN LINK FENCE
CLF = CHAIN LINK FENCE
MONUMENT NCF = NO CORNER FOUND -t = PROPERTY LINE SIR = SET 112- IRON ROD LB# 8183
= BRICK
CMP = CORRUGATED METAL PIP f
HP - FOUND IRON PIPE O/A = OVERALL POB = POINT OF BEGINNING TBM = TEMPORARY BENCH MARK
COL = COLUMN
FIR = FOUND IRON ROD OH = OVERHEAD WIRE(S) POC = POINT OF COMMENCTMENT TOB = TOP OF BANK
CONC = CONCRETE
FN&D = FOUND NAIL & DISK O.R. = OFFICIAL RECORDS POL = POINT ON LINE TWP = TOWNSHIP
ALUMINUM FENCE
C/S = CONCRETE SLA13
FOP FOUND OPEN PIPE (P) = PLAT PRC = POINT OF REVERSE CURVE U.E UTILITY EASEMENT
COVERED
Lef:�
CST - CLEAR SIGHT TRIANGLE
FPP FOUND PINCHED PIPE PB = PLAT BOOK PRM = PERMANENT REFERENCE MONUMENT I VF VINYL FENCE
JOB #15907521513
SURVEYOR'S NOTES: SURVEYOR*S CERTIFICATE
1708 Water Oak Drive
Date of Site Plan: 6-9-23
1.) Current title information on the subject property had not been This certifies thak0x�"%"*#jPereon described
Tarpon Springs, Florida X
furnished to Initial Point Land Surveying, LLC. at the time of this property was- nr2 C WH l Xvision and
Phone: (727)-831-1990 RG W RG.
I
DWG:AS-PH2-L 1 3-BL I 5-SITE
SITE PLAN meets the b ctice for
�E
FloridaPLS7123L@gmail.com �p I S TWP 1 5
2.) This sketch was prepared without the benefit of a title search. surveys se of Land
No instruments of record reflecting ownership, easements or t i er7t gned
LB# 8183 RG IN RG, I E
DE
�File:
rights -of -way were furnished to the undersigned, unless otherwise JA - Adrn n tVt1 artl
shown hereon. Ey
Drawn by: DJB
i4 7 21
pursuft to ecton
3.) Roads, walks, and other similar items shown hereon were taker . Stiltu a
Date: 06.1
Checked by.-JH
from engineering plans and are subject to survey.
REVISIONS
4.) p. ATE tic
This SITE PLAN does not reflect nor determine ownershiH y 4'00
01,
5.) This SITE PLAN is subject to matters shown on the Plat of LORty.:55*
. , 1
A
"ABBOTT SQUARE PHASE 2"
H
Jeff M. Ha
6.) Dimensions shown hereon are in feet and decimal portions
FLORIDA PR R AND
4101fix
thereof.
MAPPER NO
7.) Contractor and owner are to verify all setbacks, building
dimensions, and layout shown hereon prior to any construction, NOT VALID WITHOUT THE ORIGINAL
and immediately advise Initial Point Land Surveying, LLC. of any SIGNATURE AND SEAL OF A FLORIDA
deviation from information shown hereon. Failure to do so will be LICENSED SURVEYOR AND MAPPER
Initial Point Land Surveying, LLC.
at user's sole risk.
Im
Plan Model Elevation
17/3 911i
Garage
Lot Size
Block
Lot
Parcel#: 0 IV- 0 - 0 /Jo
Address:
Setbacks; Front Z 0. Rear��Sides
Elevation: Garage:
0
Roof Shingle Dime nsion/Architectural:
V P T U L R tE V W A � S I Q T
FIT "I TIR
Use of Private Provider
Effective January 20, 2003
Project Name: 36461 Well Hill Wa
rarcel Tax ID: 04-26-21-0160-01500-0130
Services to be provided: Plans Review X
Inspections
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section 553.791(2) Florida Statute.
the fee
owner, affirm I have entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Finn: VIRTUAL REVIEW A55I5T, INC.
Private Provider:
U401
Telephone: 813-376-3088
Email Address (Optional): deb@virtualreviewassist.com
Florida License, Registration or Certificate #: (LIC # BU1967/ PX2300/ BN4615)
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed penult application, as authorized by s. 553.791, Florida
Statutes. I understand that the local building official may not review the plans submitted or perform the required
building inspections to determine compliance with the applicable codes, except to the extent specified in said law.
Instead, plans review and/or required building inspections will be performed by licensed or certified personnel
i 'denti r led in the application. The law requires minimum insurance requirements for such personnel, but I
understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I
have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance
and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the
local government, the local building official, and their building code enforcement personnel from any and all
claims arising from my use of these licensed or certified personnel to perform building code inspection services
with respect to the building that is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the
applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I
make any changes to the listed private providers or the services to be provided by those private providers, I shall,
within I business day after any change, update this notice to reflect such changes. The building plans review and/or
inspection services provided by the private provider is limited to building code compliance and does not include
review for fire code, land use-, environmental or other codes.
M=20� �-�
I - Qualification statements ' and/or resumes of the private provider and all duly authorized representatives.
2.. Proof of insurance for professional and comprehensive I abilit e alno i y in,th unt of $1 million per
occurrence relating to all services pD!Tf.0imDd as a private provider, including tail coverage for a minimum
of 5 years subsequent to the performance of building code inspection services.
,
Individual
. . -(signature)
Print
Name;
Adiftm.
Telephone
Pleaseuse appropriate notary block.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
B efore Me-, this day of
20. personally
appealed
Who executed the foregoing instrument,
an ' d acknowledged before me that s ' ame
Was executed for the Purposes therein
qorporation
LENNAR HOMES, LLC
Print CoiporationName;
print
Name,: Christopher Smith
Authorized Aa ent
Addrem. 700 NW 10M Ave
Miami, FL 33172
T51ephpm-
813-574-5700
Corporation
Before me, this 22ND day of
MAY 20`3
personally appeared
Of
Lennar Homes, LLC a
corporation, on '
behalf of the state rorporation, who
executed the foregoing instrument and
ac.1mowled.god. before me that same was
executed for the purposes therein
expressed.
Partnership
PrintPartnership Name
an
(signature)
Print
Name,
jts'
Address:
Telephone
Non
B tfore me, this clav
Of 20___-,
personally appeared
Partner/agentonbob:alf of
a partnership, who executed the
foregoing instrument AXICI
aclmowledged before me that same
was exDeutedforffiepurposestherem
expressed..
Persortallyknown, X or- Pioducediden#cation Type of'idDutification. produced
I,- signatureOfNotaT� PrintNam e ASHLEE Q-ALLAHAN
NotatyPublic, Stamp: ASKEE CAt.LAIIAII
comrflissi on Expirm My COMMISSION it1*129598
EXPIRES: November 30,202 6
Page 2 of 2
VIRTUAL REVIEW ASSIST
Private Provider
Plan Compliance Affidavi!
Private Provider Finn: Virtual Review Assist, Inc.
Private Provider: Debra Anne Klahr, BU 1967
Address: 747 Southwest 2nd Avenue
Gainesville, FL 32601
Phone: 813-391-2959
Email: lucyQvirtualreviewassist.cgni
Project: New SFfN
Address(s): 36461 WELL HILL WY
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed for and are in
compliance with the Florida Building Code and all local amendments to the Florida Building Code by the
following afflant, who is duly authorized to perform plans review pursuant to Section 553,791, Florida Statute
and holds the appropriate license or certificate:
Name: Debra Anne Klahr
Plan Sheets CS,1.1,1,2,2,1,2.2,3,4,5,6.1,6.2,7,SS,ST,SNI, SN,S3,S4,S5,S6,DI,D2,WPI, PAI.0,PAI.1,
PAI.2,PAI.3,PAI.4, PAI.5,SHI.0,SHI.1,SHI.2,SHI.3,SHI,4,SHI.5
Florida License/Registration/Certification #(s) and description:
FS468 Certified Standard Plans Examiner
License #: PX2300
Signature of Reviewer:
SWORN AND SUBSCRIBED boere me by Debra Anne Klahr
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state that the
orego ian
. g s true d correct to thi best of his/her knowledge or belief.
s 7
Ashlee Callahan
i a Po f 0 Print Name
commission expires:
A
H 295980
0
ASHLEE CALLAHAN
20261
"Q: myCOMMISSION #HH295980
EXPIRES: November 30,2026
[—COMMERCIAL BUILDING SERVICES DIVISION PRESIDENTIAL
BUILDING PERMIT DATA SHEET
WANAM
1"I am=-M' R1901
FIRE MARSHAL #01 -
r1qT#Tff=4rjT =1
VIVA,
go
Plumbing
V
E] Inspection Only■
II
Vmechanical
Inspection Onlpis
y
Electrical Amp
El 2ection Only
E] Medical Gas
Fire Sprinklers
On Site Piping
Irrigation
F� Fire Alarm
Potable Backflow Assembly
E] Fire Line Backflow Preventer
Ej Irrigation Back1low Assembly
El Demolition
El Walk-in Cooler
El Refrigeration
t
El Fence/Wall
■Grease Trap
iff�# I - �11
T e Construction:
�T
Risk Category:
Occupancy Load
O ancy Classification:Day
Factory L ------ i
,Residential
Assembly E::�
Hazardous
usiness Care/Educational
nstitutional D;Mercantile
UtilityE--=
Building Use: sincile family residence Alteration Level I Level 2 [QLevel 3
1,6New Construction El Interior Finish ❑ Interior Remodel ❑ Exterior Remodel F Addition ❑ Revision
Overall Size:
25 X 54
Number of Stories:
2
Total Sq. Ft.:
2262
Living Area: 1764
Covered Area:
498
# of Bedrooms: 4
# of Baths: 2.5
Cost per square foot:
Estimated Value:
Roof Shingle
[]Tile, F] Built-up
0 Metal F-1 Other Squares: 16
Zoning:
Wi , orneDebris:
E]Jnside
W"', Outside
Energy Code: 405-2022 SUP
Flood Zone: X
Base Flood Elevation:
I Finish Floor Elevation:
Hydrostatic Vents9
JQYes
� No
Sq. Ft. Enclosed Space Below BFE:
# of Vents:
Size of Vents.
Total Sq. In. Permanent Openings
9 Central A/C
EJ Gas A/C
El Heat Pump
El Gas Heat
El Window AIC
D Electric Heat
ro-YR07-321r, "I
SanitaKy Sewer
Storm Sewer Catch Basins
Potable Water
Under round Fire Line
W-MM"
Front Rear Left Right
As per Approved Site Plan
Comments: